| NPI | 1811360316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW THOMAS FITZGERALD Business Manager 480-471-8560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2015-11-05 |